Vaginal Discharge and Itching Treatment
Most women have suffered from vaginal itching and discharge at some time in their lives. In addition, the majority of the patients who applied to the obstetrics outpatient clinic are also the patients with vaginal discharge and itching.
Although vaginal discharge sounds like a simple discomfort, it can cause serious permanent damage if not treated. Vaginal infection may spread upwards and cause obstruction in the tubes and thus infertility. Sometimes, it can even cause death by causing abscess formation in the abdomen. For this reason, it is very important for women with vaginal discharge to have a gynecology examination without delay.
What are the Symptoms of Vaginal Infection?
Symptoms of vaginal infection are very typical. It can be almost correctly diagnosed and treated with the patient’s description alone. In patients with vaginal infection complaints, sexually transmitted diseases such as HPV should be investigated.
The most common vaginal infection symptoms are;
- Yellow discharge / green discharge / cheese-like discharge / foamy discharge
- Foul-smelling discharge
- Vaginal itching
- Burning in the vaginal area
- Burning when urinating
- Pain, burning in the relationship
What Causes Vaginal Discharge?
Just as sweating occurs as a result of the sweat glands, vaginal discharge occurs as a result of the work of the vaginal glands. The consistency and amount of discharge also varies according to the day of the menstrual cycle or whether pregnancy occurs.
In other words, there is no such thing as no discharge in a woman. The more the vaginal glands function structurally in a woman, the more discharge will be. It is normal to have this discharge, which is defined as physiological discharge. There is no odor in the physiological discharge, it is transparent or white in color. Other types of vaginal discharge are not normal. In these cases, the cause of the underlying vaginal infection should be investigated.
What are the Types of Vaginal Discharge?
White, slimy, odorless vaginal discharge is normal. But if the discharge turns yellow-green, is foamy, has a large amount, or has a foul odor, it may be a sign of a vaginal infection. In this case, a gynecological examination is required for definitive diagnosis and treatment.
Sometimes, discharge mixed with blood or brown discharge can be seen. The reason for this discharge may be pregnancy; There may also be gynecological diseases such as ovarian cyst, uterine fibroids, polyps, vaginal infection or cervical cancer. Gynecological examination is required for definitive diagnosis.
What are the Causes of Vaginal Itching?
Vaginal itching is typically a symptom of a fungal (candida) infection. There is a cheesy white discharge with itching in the vaginal fungus. Itching in the vaginal area may also occur in other vaginal infections, allergies or dermatological problems (lichen sclerosis, etc.). Sometimes a fungal infection is asymptomatic. In other words, the patient does not have any itching, but there is a cheesy discharge. In this case, the diagnosis of vaginal fungus can only be made by gynecological examination.
What Causes Vaginal Discharge And Itching?
There are 2 common causes of vaginal discharge and itching.
- Disruption of normal vaginal flora
Bacteria called lactobacilli are found in normal vaginal flora. Lactobacillus is a beneficial bacteria that protects women from vaginal infections. Frequent sexual intercourse, use of antibiotics, diabetes, vaginal douching, constant wetness of the genital area reduce the number of lactobacilli in the vagina. As a result, there is a tendency to vaginal infections. As a result of the deterioration of normal vaginal flora, gardnerella (bacterial vaginosis) and fungal (candida) infections are frequently observed.
- Sexually or any other reason (toilet etc.)
Even if the woman’s vaginal flora is normal, if the partner has an infection, infection can be transmitted through intercourse. In addition to sexual intercourse, infection can also be transmitted from shared toilets and personal items.
Agents Causing Uterine Infection
Gardnerella Vaginalis (Bacterial Vaginosis)
The most common cause of vaginal infection and discharge is bacterial vaginosis. In fact, this is a vaginal infection caused by the change in the normal vaginal flora. It usually occurs in sexually active women. Because the vaginal ph increases as a result of the male ejaculation. This disrupts the vaginal flora, causing a milky, smelly fishy discharge. This is rarely seen in girls who are not sexually active, gardnerella vaginalis.
Candida albicans is the most common cause of fungal infection. 75% of women have had vaginal yeast infection at least once in their lifetime. Contrary to what is known, fungal infection is not transmitted sexually.
Candida albicans often lives in the mouth, throat, large intestine and vagina. In other words, candida, or fungus, is already found in the normal body flora. But they are few in number.
The number of candida in normal flora increases in the following cases. White cheesy discharge, itching, burning and redness in the vagina appear, which are signs of vaginal yeast infection. If the fungus is common, there may be burning while urinating.
- Use of antibiotics
- Diabetes (Diabetes)
- Pregnancy Use of drugs such as birth control pills and steroids
- Chronic weakness
- Vaginal douching
- The genital area is constantly wet or moist
Trichomonas is a sexually transmitted parasite. It causes genital infections in both men and women. Trichomonas infection causes green, foamy and foul-smelling discharge.
Ureoplasm and Mycoplasma
These bacteria are also sexually transmitted. In the treatment of vaginal infections, it is absolutely necessary to give co-treatment.
Gonorrhea and Chlamydia
Gonorrhea and chlamydia infections are sexually transmitted bacteria. Gonorrhea is also known as gonorrhea among the people. 85% of women with gonorrhea and chlamydia infections will have no symptoms. In those who have symptoms, there are complaints such as intense discharge, groin pain, pain in intercourse, bleeding after intercourse. If gonorrhea and chlamydia are not treated, it may spread upwards and cause obstruction of the tubes and thus infertility.